- Abt Global Inc. (Cambridge, MA)
- …to play a leadership role in our work with the Centers for Medicare and Medicaid Services (CMS). As a member of the Research, Monitoring, and Evaluation ... claims and administrative data to meet project needs. + Lead the adaptation or development of Medicaid ...partners to develop and implement quality improvement strategies and/or provide technical support to participants in CMMI models. +… more
- Public Consulting Group (Boston, MA)
- …is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular certification (SMC) and ... Medicaid Consultant to join our team and help lead our growth efforts. Deep Medicaid experience...outcomes-based certification (OBC). Our ideal Medicaid Consultant will provide oversight and direction… more
- Mathematica (Boston, MA)
- …person will bring expertise focused on one or several of the following areas: Medicaid , CHIP, Home- and community-based services , Medicaid Finance, ... implementation at a public or private entity such as Medicaid director, disability services director, deputy director...relevant expertise. * Within their appropriate area of expertise, provide consulting services to state and local… more
- Mathematica (Boston, MA)
- …areas related to monitoring and improving Medicaid programs such as: Medicaid payment and financing policies (fee-for- service base and supplemental payments, ... manage multiple priorities, sometimes simultaneously, under deadlines * Understanding of Medicaid payment and financing, home and community-based services , or… more
- Mathematica (Boston, MA)
- …soliciting candidates with experience successfully improving state Home- and community-based services within the state's Medicaid or HCBS administrative agencies ... monitor, and advise on state policy and programs. * Provide consulting services to state and local...local, state or federal agency, a foundation, a healthcare provider , a Medicaid managed care plan or… more
- Mathematica (Boston, MA)
- …with projects that align with their interests and skills. Projects in the Medicaid area provide technical assistance to federal and state agencies, convene ... innovative programs and policies. Managing consultants participate in and lead a range of tasks at Mathematica, from overseeing...will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff… more
- Humana (Boston, MA)
- …innovate **Additional Information:** Typically reports to a Regional Vice President of Health Services , Lead , or Corporate Medical Director, depending on size of ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Mathematica (Boston, MA)
- …Staff in our Health unit will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts will ... candidate will have strong knowledge of SQL, Python, Databricks, and Amazon Web Services (AWS). Individuals with an interest in confronting the challenges of working… more
- Highmark Health (Boston, MA)
- …+ Provide assistance and, depending on skill and experience, lead with interpretation of raw data, statistical results or otherwise compiled information, ... projects and data analysis. Determines how decision support systems will provide information required to make effective business decisions; translates requirements… more
- Humana (Boston, MA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... put health first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- WellSense (Boston, MA)
- …Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services that work for our members, no matter their ... liaison between Well Sense Health Plan ("Plan") and key provider organizations, taking the lead and promoting...and events + Ensures quality and compliance with state Medicaid regulations and NCQA requirements + Other responsibilities as… more
- Commonwealth Care Alliance (Boston, MA)
- …experience - 3-5 years of experience - Managed Care experience (preferably Medicare/ Medicaid ). - Experience in health plan provider relations. - Understanding ... **Why This Role is Important to Us:** The Provider Relations Specialist is responsible for cultivating, maintaining and strengthening relationships with the… more
- Humana (Boston, MA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Boston, MA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... and help us put health first** The Market Finance Lead collects, analyzes and reports on various market data...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Boston, MA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... help us put health first** Humana is seeking a Lead Solutions Architect to join our Fortune #40, Best...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Boston, MA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Boston, MA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Fenway Health (Boston, MA)
- Lead Community Health Worker Boston, MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Nursing Job Type Full-time Description Under the ... Leadership, Care Coordination Nurse Manger, and the Nurse Care Coordinators, the Lead Community Health worker (CHW) provides patient support and specialized and… more
- Humana (Boston, MA)
- …business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Public Consulting Group (Boston, MA)
- …practical guidance and support to management and consultants in compliance areas including Medicaid regulations. + Take a lead role in compliance investigations ... and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000… more